Podcast appearances and mentions of Ryan Jacobs

I wanted to talk to a lawyer 'cause, yeah, lawyers are the ones that see stuff that falls the whole way down to the level of legal action. But I wanted to find out what are the main categories of things that wind up in legal land when it comes to broker or EBC (employee benefit consultant) payment agreements. Like, what are the top ways that compensation agreements go horribly awry? For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Doug Aldeen, my guest today, rose to the challenge. And let me just state for the record that, while there are a whole lot of brokers and EBCs who would or do engage in some of these practices, there are also many who do not; and/or it might not be the broker/EBC themselves but the company that they work for who is up to some of the things that we're gonna be talking about in the episode today. But I really, for sure, want to support the gang of honest actors, great fee-based, integrity-based brokers and EBCs; and I wanna support them all day long, many of whom listen to the show and are part of the Relentless Health Value Tribe. But let's talk about how the rent-seeking ones roll so that you can spot them. See what they did there. So, yeah … the first kind of ground zero that Doug and I talk about today is just up-front direct compensation agreements, which may be just ridiculously complicated and/or ridiculously expensive compared to what others are charging for a similar group. Where there's mystery, there is margin. That is so relevant in so many situations, and this is just another one of them. So then, after that, Doug and I move on; and we get into three categories of stuff that sits in that undisclosed or maybe even disclosed zone, where just the whole model of payments is problematic on its face. First up (and this is a biggie), brokers/EBCs recommending rent-seeking solutions to their clients. Like, a broker or EBC suggests a solution to their client where the solution itself makes money on a perverse incentive, and then the broker or EBC gets a piece of that action, which might be called shared savings. So, yeah … even if the dollars to the broker or EBC are disclosed, a naive plan administrator might not see that overcharge for what it really is—and Doug gives a bunch of examples in the show that follows. Chris Deacon (post) and Justin Leader (post) also wrote posts about this. Donovan Pyle wrote a whole book about it. Okay … the next big category of typical payment model methodologies that Doug Aldeen (again, a lawyer) has seen plans get themselves into trouble with their EBCs and brokers—the ones who are sharks, I mean, circling the plan like it's a gold mine—this big category is undisclosed payments from vendors who the plan doesn't realize have a business relationship with the EBC or broker. This can also be a whole basket of solutions that the EBC/broker wants to install, which is basically this problematic payment model at scale. And, right, this matters because then the plan doesn't know if this particular point solution, PBM, stop-loss carrier … Right? They think their broker EBC is recommending it because it's the best option for that particular plan, not understanding that it's the right option for the broker or EBC. And these dollars can be undisclosed because, to a certain extent, the Consolidated Appropriations Act, it's a little bit unclear on certain points. There's some loopholes if you go looking for them because you are so inclined. We get into more detail on this later on. After this, Doug offers a really great roadmap with six steps in it for any plan to really think about as they consider. First, the maybe integrity of their broker or EBC and what is being recommended to the plan. And that's important because, look—and we say this in the conversation that follows, but I'm gonna say it again here loudly—if a plan realizes that their broker or EBC is not really serving the best interest of the plan, there are great options out there. There are great EBCs and brokers who are honest, upstanding that really care about their clients, their plans, their members, and doing the right thing. But telling the difference between the not-so-good ones and the good ones takes some diligence, takes some validation on the part of the plan sponsor. It just does. But the amount of dollars that can be saved is millions, and this is actually, saving those millions is actually better for the plan because it's not like those dollars were going in somebody's pocket. It's not like they were being put toward better, safer, lower premiums. These are dollars that can be cut, and the plan is actually better. My guest today, as I have mentioned at least several times already, is Doug Aldeen, who is a well-known attorney who has spent many years in the self-insured space. This podcast is sponsored by Aventria Health Group, and I do want to give a shout-out and a thanks to our 2026 series underwriter Payerset. Thank you so much for your financial support. That helps keep this podcast on the air. And with that, here is my conversation with Doug Aldeen. Also mentioned in this episode are Chris Deacon, Justin Leader, Donovan Pyle, Mark Cuban, Cost Plus Drugs, Aventria Health Group, Payerset, Cynthia Fisher, Lee Lewis, AJ Loiacono, Dave Chase, Nautilus Health, 32BJ, Andreas Mang, Jon Camire, and Tom Nash. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here.   You can learn more on Doug's Web site and by following Doug on LinkedIn.   Doug Aldeen is an Austin, Texas–based Employee Retirement Income Security Act (ERISA) healthcare attorney. From 1997 to 2006, he served both as associate general counsel and general counsel for provider-sponsored HMOs in Champaign-Urbana, Illinois, and San Antonio, Texas. During his tenure at Health Alliance Medical Plans in Urbana, Illinois, he had a front-row seat to the US Supreme Court ERISA case in Pegram v. Herdrich. Since 2007, Doug has owned and operated his own law firm that serves the US self-funded market. In 2016, he served as ERISA counsel for the Berkley Research Group, who served as an advisor to the private equity firm Hellman and Friedman that purchased a majority stake in MultiPlan for $7.5 billion. From 2019 to 2024, Doug served on the government relations committee for the Self-Insurance Institute of America during the period when the Consolidated Appropriations Act was being implemented. In 2022, Doug was featured by KXAN television in Austin in an investigative piece that examined the collection practices of a local hospital. KXAN's investigative work resulted in an Edward Murrow award for public service. For the past 10 years, he has published "The Sunday Morning Bathroom Read" on LinkedIn, which features a weekly tongue-in-cheek review of recent events and the implications to the self-funded market in the US healthcare industry. 00:00 Introduction to this episode. 00:59 A caveat for the record on this episode. 02:11 The first problematic payment model discussed in this week's episode. 03:27 The second problematic payment model discussed in this week's episode. 06:16 The conversation with Doug Aldeen. 06:27 Why is reviewing broker/EBC compensation so important? 08:05 The Ohio Potato Company anecdote. 10:28 The first way brokers/EBCs might get paid. 11:45 What "cost of savings" means. 12:31 EP457 with Cynthia Fisher. 14:07 A rent-seeking solution that requires a cost-benefit analysis. 19:16 Why the broker/EBC is sometimes in the dark about vendor kickbacks. 21:46 Where the CAA is unclear. 22:23 EP508 with Lee Lewis. 22:58 EP379 with AJ Loiacono. 24:04 Actionable advice for plan sponsors. 24:57 The second piece of actionable advice for plan sponsors. 25:22 The third piece of actionable advice for plan sponsors. 26:08 Demystifying the commission structure. 27:35 Using a broker RFP from an open source. 27:54 EP484 with Dave Chase. 28:31 Why you should be auditing data and claims. 29:29 EP478 (Part 1) and EP479 (Part 2) with Andreas Mang and Jon Camire. 31:29 The importance of having an "out." 33:11 Why the broker community may be at substantial risk. 35:30 EP419 with Andreas Mang. Recent past interviews: Click a guest's name for their latest RHV episode! Dr Siva and Dr Monica Lypson, Betsy Seals, Patrick Nelli, Lee Lewis, Stacey Richter with 15 experts (EP507), Jerry DiMaso, Dr Ahilan Sivaganesan, Ryan Jacobs  

I came up with at least one way to tell the difference between making a fair profit and profiteering. If someone makes more money when the patients or members they serve are worse off, yeah, call that profiteering. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. For more on what is fair profit versus what is profiteering, I would recommend you go back and listen to the episodes on mission and margin with Ben Schwartz, MD, MBA (EP481) and then with Mick Connors, MD (EP495). But it's probably not an accident that I have started an episode about Medicare Advantage in this fashion. To this end, I am very much looking forward to hearing what's up with Medicare Advantage from the one and only Betsy Seals, who is back for her third appearance on Relentless Health Value. And her advice in a nutshell is this: Don't profiteer. There are ample ways to make a fair profit. Just go back to basics and do it the right way. I wanna kind of tick through the list of things that I think about when I think about Medicare Advantage and just how it is relevant to absolutely everybody. The first thing I think about when I think about Medicare Advantage—and this is very obvious—is what Medicare Advantage plans do or don't do are our tax dollars at work or not at work, as the case may be. Along these same lines, the second thing: How does this impact our elders, our family, our friends, our grandparents? These are our senior citizens, getting the care or not getting the care that they may need. Those two are obvious. Now let's talk about a few less obvious things. Here's the third point that I think about as I listen to conversations about Medicare Advantage: cost shifting. Right? It is a well-known fact how big, vertically integrated carriers—and when I say big, vertically integrated carriers, I mean ones that have a Medicare Advantage line of business—when negotiating with big, consolidated health systems, the release valve of those negotiations is commercial rates. These are the rates that the self-insured employers are paying. So, the carrier says, "Look, gimme the best Medicare Advantage rates. I want the best Medicare Advantage rates because I, the carrier, am paying for those." Savings from those lower rates accrues to the Medicare Advantage plan and its shareholders or investors or executives, right? So, the carrier with the Medicare Advantage plan is like, "Look, go as low as we can go on the Medicare Advantage rates, but it's okay, health system, if you make up the difference with the ASO commercial book of business." Because right … ASO means administrative services only. It's not the carrier who's paying those commercial rates at the end of the day. So, the carrier uses its full book of business to negotiate lower rates for itself while, at the same time, cost shifting to commercial members. In fact, there was some research that was cited. It was episode 436 with Elizabeth Mitchell, and I quoted Luke Prettol. But there was research that puts this markup at 4.7% above what employers would otherwise pay if they had an ASO that did not have a Medicare Advantage Plan. So, yeah … number three big thing that I think about when listening to MA insights like the ones that Betsy drops today, I think about will this accelerate or ameliorate or really have anything to do with what is going on around those negotiating tables with ASOs and health systems? Because let's not forget, health systems account for about 50% of most self-insured employers' total health spend. The fourth thing that I think about: Will MA carriers underpay independent practices, especially primary care practices? Will it pay indies less? And then if it pays 'em a lot less, would ultimately manage to put them out of business, ultimately raising the total cost of care for everybody. But if we're thinking about this strictly from Medicare Advantage financial perspective, a really great move here, these are big, vertically integrated companies, don't forget. Many of them own provider organizations. This is why the FTC tends to frown on vertical integration. So, will these Medicare Advantage organizations who own provider organizations pay the provider organizations they own more? By the way, it's the same thing that's going on on the pharmacy side of the house when a PBM pays pharmacies that they own more. Here's a LinkedIn post by Stanley Warren about this topic. And there are a lot of obvious, maybe less obvious reasons for why paying providers the carrier itself owns more is a great short-term move. One of them is intracompany eliminations. Listen to the episode with Preston Alexander (EP482). But here's another reason: Rate increases paid by the government for Medicare Advantage plans are based on fee-for-service benchmarks. So, if fee-for-service rates go up, then the Medicare Advantage plans can negotiate more money for themselves. If the MA plans own the providers that are charging said FFS rates, then this is, I don't know, a great strategy, especially given the lobbying budget that some of these entities have. So, look … on today's show, I get the distinct opportunity to speak with Betsy Seals, my guest today, as I mentioned earlier; and we go through her advice for MA plans and what they need to get busy with and ensure, make a fair profit, go back to basics, and do it the right way. That's her bottom-line advice. Don't be putting your hands in the cookie jar. Sooner or later, you're gonna get caught. Focus on the members that you're really good at serving. And lastly, when it comes to STARS or other quality measures, lift them the right way—like, actually through better member health and actually better member experience, not some engineered mechanism by which one can check a box that honestly doesn't deserve to get checked. Because now we're back to the beginning and you're gonna get caught with your hand in the cookie jar, and it's profiteering. Let's just get real about that. If somebody's checking boxes that they don't deserve to check, member health is not improving. Betsy Seals, my guest today, as I have said at least three times, co-founded Rebellis Group, which is a Medicare Advantage consultancy. She became CEO of its parent company, Alerion Advisors. Now she is a board member, and also she works with start-ups in our industry. This podcast is sponsored by Aventria Health Group with an assist today from Payerset to help us with the financial support that we need to stay on the air. And with that, here is my conversation with Betsy Seals. Also mentioned in this episode are Alerion Advisors; Rebellis Group; Benjamin Schwartz, MD, MBA; Mick Connors, MD; Elizabeth Mitchell; Luke Prettol; Luke Trocchio; LoVasco; Stanley Warren; Preston Alexander; Aventria Health Group; Payerset; Eric Bricker, MD; Scott Conard, MD; Bob Herman; and Vivian Ho, PhD. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here.   You can learn more by visiting the Rebellis Group blog and by connecting with Betsy on LinkedIn. You can also email her at bseals@rebellisgroup.com.     Betsy Seals is the co-founder of Rebellis Group, former CEO of Rebellis Group and Alerion Advisors, and a current board member of the Alerion Advisors family of companies. With over 25 years of experience across Medicare and Medicaid programs, Betsy is a nationally recognized leader known for her regulatory expertise, strategic vision, and ability to deliver measurable results. Betsy's work spans mergers and acquisitions, compliance, enterprise strategy, sales and marketing, supplemental benefits, and innovative benefit design that optimizes health plan performance and improves health outcomes. Betsy brings a strong blend of executive leadership, business acumen, and deep regulatory knowledge, with a focus on driving operational excellence and meaningful member impact.   00:00 Introduction to this episode. 00:43 Past episodes on profiteering: EP481 with Benjamin Schwartz, MD, MBA, and EP495 with Mick Connors, MD. 01:25 How Medicare Advantage is relevant to everyone. 06:15 A preview of today's conversation. 07:49 The "state of the state" of Medicare Advantage plans. 08:49 Video by Eric Bricker, MD, on the financial performance of the U.S. healthcare system. 09:32 Does Medicare Advantage's losses matter to the patients? 10:29 A recap of Betsy's insights so far. 11:19 The underlying strategic through line that needs to be considered. 13:04 The impact of Goodhart's Law. 14:12 What the players that are succeeding right now are doing. 14:22 The first pillar of a back-to-basics strategy: Don't get caught with your hand in the cookie jar. 16:07 EP463 with Betsy Seals. 16:50 Why short-term strategies don't work. 18:26 Stats report on prior authorizations serving the beneficiary. 19:32 EP482 with Preston Alexander. 19:38 Why prior authorization needs change. 21:28 The better strategy to use. 21:43 EP462 with Scott Conard, MD. 23:17 The second pillar of a back-to-basics strategy: Focus on the beneficiaries you actually serve well. 24:37 What it looks like to implement this focus on the beneficiaries you serve well. 25:29 How special needs plans play into this. 27:43 The third pillar of a back-to-basics strategy: Think about how STARS in clinical programs improve health. 30:04 The ethical component to implementing a Medicare Advantage program. 31:04 Betsy's advice for independent practices dealing with prior authorizations. 33:37 STAT article by Bob Herman about the effectiveness of Medicare Advantage lobbying on policy. 34:08 Betsy's final notes for all players impacted by what's currently happening.   @betsyseals discusses the impact of #medicareadvantage news on our #healthcarepodcast. #healthcare #podcast #financialhealth #commercialpayermarketplace #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Patrick Nelli; Lee Lewis; Stacey Richter with 15 experts (EP507); Jerry DiMaso; Dr Ahilan Sivaganesan; Ryan Jacobs; Stacey Richter (INBW46); Ryan Wells, Dr Leo Spector, and Adam Stavisky  

Sarah Monroe: Hi. This is Sarah Monroe in Chicago, and I'm a benefits procurement leader. And I'm curious why you think so few executives take proactive bold action in health benefits strategy given the magnitude of opportunity. Stacey: Isn't that a great question? For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Okay … so, last week we did an Ask Me Anything episode with Lee Lewis (EP508) where we answered this exact same question Sarah just asked from the standpoint of a CEO (chief executive officer). This week, we're taking the same question but from the standpoint of a CFO (chief finance officer) and/or the finance team writ large. And this week we're going through a very crisp roadmap for how to move forward toward proactive bold action in alignment with said CFO/finance team. This roadmap, though, since we are talking about finance folks here, it does double duty setting up the hardcore why—as in, Why should finance wish to upgrade benefits? Why get away from being kind of complacent and maybe a passive price taker? I mean, consider Step 1 of the roadmap that we're gonna cover here in a moment. Step 1 is to recommend that the finance team set their next-year and out-year forecasts at an accurate, greater than 7.7% trend. You might be able to see how that will get a finance team to find their why pretty quick. Oh, was that a spoiler of what's to come? Why, yes, it was. My guest today, Patrick Nelli, is currently the CEO of Aligned Marketplace, which has a really cool premise based on the power of advanced primary care. Check them out. Patrick Nelli is also a former CFO. So, yeah … you can see why he'd be a really great guest to take us through this roadmap for how folks at a plan sponsor not in finance can align with finance to move forward toward a health plan that works better and costs less. So, without further ado, here's Patrick's roadmap. But, for sure, listen to Patrick explain it. The points that he makes and the details that he brings up are both helpful and also really thought provoking. Step 1: Stop the renewal surprise. Engage with CFO finance teams and take in the advice of John Quinn from episode 493 and Lee Lewis (EP508) from last week. This is an ongoing engagement-type engagement, not a "see ya right before renewal" thing. Step 2: Confront an accurate trend. Set year-over-year trend accurately. As just stated a minute ago, this trend is not CPI (the consumer price index). Trend will be two to three points minimum above CPI, which is gonna be in the 7.7% range or higher for reasons that Patrick will lay out coming up here. When you speak in finance talk like this and forecast these out-years accurately, the why for taking bold action becomes really crystal clear. The status quo is financially untenable. Here's a link, by the way, to a page that Patrick gave me that covers this #2 forecasting step. Step 3: Offer a win-win alternative to the status quo. So, make it clear that this high estimated trend is only accurate if—and this is the important part here—if we stick with the status quo. It is possible to create an actually better plan that is more affordable and better for everybody. I will say this Step 3 is maybe a little bit more fraught than I had previously considered. Go back and listen to the show last week with Lee Lewis (EP508) for more of a deep dive into this Step 3 in the roadmap. Step 4: Lean into proven strategies that have been shown time after time to bend said cost curve and improve the health of employees, such as, again, advanced primary care. How many times does this need to come up? Step 5: Align your incentives and also your safeguards. So, look, if you decide to implement a model like advanced primary care, you gotta ensure that the payment model actually incents the behavior you want to see. You gotta think that through. There is a pachinko machine in the healthcare industry and a pachinko effect of incentives. So, know what they are and then put up safeguards and backstops to prevent unintended consequences if you know that the incentives are, in fact, misaligned. Step 6: Optimize via your contracting, which includes direct contracting. So, once you consider the incentives and figure out what you gotta watch out for, optimize contracts accordingly. And often that means finding ways to direct contract with independent practices such as primary care practices. Listen to that episode from two or three weeks ago with Ryan Jacobs (EP504), which is one half-hour fully getting into what the perverse incentives that just batter the premise of primary care if you don't take them on board. So, that's Step 6 of the roadmap. Optimize contracting, maybe direct contract. Step 7: Steer and tier. Steer and tier, especially for rising risk and/or to make sure employees get the highest value. In other words, risk stratify and disproportionately engage those with rising risk. Steer and tier them to high-value provider organizations. And look, as I said in episode 507, define value and then demand it. Steer and tier away from wildly expensive organizations who may not perform at the level that you're looking for. Is that easy? No. Can you start with, for example, advanced primary care organizations with a clear mandate who to refer to? Yes. This podcast is sponsored by Aventria Health Group. Today we got an assist from Aligned Marketplace. They gave us some financial support to help cover our expenses around here, and for that I am very, very grateful to Aligned Marketplace. And with that, here is my conversation with Patrick Nelli. Also mentioned in this episode are Aligned Marketplace; Sarah Monroe; Lee Lewis; John Quinn; Ryan Jacobs; Aventria Health Group; Gary Campbell; Shane Cerone; Sam Flanders, MD; Scott Conard, MD; Stan Schwartz, MD; Vivian Ho, PhD; Al Lewis; Dave Chase; Ryan Wells; Adam Stavisky; Leo Spector, MD, MBA; Barbara Wachsman; and Tom Nash. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here.   You can learn more by visiting alignedmarketplace.com and by connecting with Patrick on LinkedIn.   Patrick Nelli is the CEO and founder of Aligned Marketplace, a national, value-based advanced primary care and specialty marketplace for employers. Prior to Aligned Marketplace, Patrick spent a decade at Health Catalyst, a data and analytics company focused on supporting some of the largest healthcare organizations in the country, where he was president and chief financial officer and helped take the company public. Previously at Health Catalyst, he helped build value-based care analytics for some of the largest ACOs in the country in pursuit of Health Catalyst's mission to deliver data-informed improvement. Prior to Health Catalyst, Patrick invested across the healthcare space and performed drug discovery research. Patrick's passion is to drive healthcare improvement through innovation.   00:00 Introduction to this episode. 02:48 Roadmap Step 1 highlights. 03:07 Roadmap Step 2 highlights. 03:49 Roadmap Step 3 highlights. 04:15 Roadmap Step 4 highlights. 04:27 Roadmap Step 5 highlights. 04:58 Roadmap Step 6 highlights. 05:19 EP504 with Ryan Jacobs. 05:37 Roadmap Step 7 highlights. 06:28 Introduction to the conversation with Patrick Nelli. 06:36 Step 1 to Patrick's roadmap: Open the conversation. 07:57 What Patrick thinks is sometimes missing in health benefits. 09:07 What finance teams need in order to change their behaviors. 09:53 What Baumol's cost disease is. 10:58 EP341 with Gary Campbell. 11:14 EP492 with Sam Flanders, MD, and Shane Cerone. 12:18 The second item stacked against employers: Being price "takers." 13:49 The percent inflation employers should expect if they follow the status quo. 15:39 INBW46 with Stacey. 16:54 Proven strategies to bend the health benefits finance curve. 18:42 EP391 with Scott Conard, MD. 19:37 SUMS11 with Stan Schwartz, MD. 20:18 How employers and plan sponsors can bend the cost curve. 21:47 The two distinct business models that finance teams need to consider when setting up their health benefits model. 24:11 Milbank study on the role of primary care. 24:53 A quick reminder of high-cost spending within health plans. 25:00 EP466 with Vivian Ho, PhD. 25:10 EP464 with Al Lewis. 25:59 What finance teams need to hear right now to understand why disrupting their health benefits plan is worth it. 27:45 The next step when an employer recognizes that they should seek out an advanced primary care option for their members. 28:41 EP503 with Ryan Wells; Leo Spector, MD, MBA; and Adam Stavisky. 30:27 Next steps after an employer enlists an advanced primary care system and aligns values and incentives in their benefits plan. 34:26 A last word to benefit teams working with finance teams. 34:55 EP430 with Barbara Wachsman. 35:08 How Aligned Marketplace fits into this entire conversation.   @PatrickNelli of @AlignedMP discusses aligning #healthfinance with #benefitdesign on our #healthcarepodcast. #healthcare #podcast #financialhealth #commercialpayermarketplace #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Lee Lewis; Stacey Richter with 15 experts (EP507); Jerry DiMaso; Dr Ahilan Sivaganesan; Ryan Jacobs; Stacey Richter (INBW46); Ryan Wells, Dr Leo Spector, and Adam Stavisky; Brian Machut  

Episode 508 is the first Ask Me Anything installment of Relentless Health Value, where Stacey Richter and Lee Lewis (Chief Strategy Officer and GM Medical Solutions at the Health Transformation Alliance and host of Broken Benefits) address a question from benefits procurement leader Sarah Monroe about why executives rarely take bold action on health benefits despite large opportunity.  Lewis describes three false C-suite "dogmas" that lead to "stay in the herd and keep it quiet": health benefits are a fixed expense, saving money hurts people (via cost shifting, low quality, or narrow networks), and fixing healthcare isn't worth the risk or disruption. They also discuss external deterrents including CEOs' proximity to health system leaders, "balance of trade" retaliation threats, vendor-provided personal incentives, and executives' limited empathy for deductibles/costs faced by lower-wage employees.  Lewis offers de-risking tactics (same-network TPAs, carrier-enabled vendor changes, narrow pilots, mid-year tests) and advises CEOs to encourage bold action, tie bonuses to plan performance, and staff benefits teams with diverse skills. === LINKS ===

Look, we wonks, meaning you and me, you're listening to this, so I am on to you. But we wonks in the Relentless Tribe, we move like lightning on Relentless Health Value. We tend to cover lots of ground pretty fast. So, sometimes I like to, with great intention, sum up what's been said—really lock into the big revelations, the big points made, the through lines. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. I like to do this so that points stick in my mind and I remember them and can build on them later. I am thinking you like this, too, because actually our through line shows in the past have been pretty popular. But this, today, is not your average through line show. I am trying something new and actually playing clips of earlier episodes so that you can recall what a guest may have said exactly and specifically and also really see the ways that episodes may interlock. So, to that end, let me just get to it and tell you the four core concepts to buy or deliver the highest-value healthcare that we will cover today. Core Concept 1: Buy healthcare. And by the way, health insurance is not healthcare. Jonathan Baran talks about that, and then Cynthia Fisher, Mark Newman, and Justin Leader cover the why, which is billions of dollars. Core Concept 2: When buying said healthcare, avoid the myth of less expensive healthcare. What is the myth of less expensive healthcare? Well, there's a lot of them, actually. One myth is that low price means low quality. Wrong. Most of the time there is actually no correlation between price and quality, but sometimes less expensive is higher quality. Also, low quality can be the most expensive care irrespective of the cost. Also, the same exact healthcare service or product can cost wildly different prices. Just keep that in mind. You'll hear Elizabeth Mitchell; Sam Flanders, MD; Shane Cerone; Jerry DiMaso; Ivana Krajcinovic, PhD, talk about this, this whole idea of when buying healthcare, avoid the myth of less expensive healthcare. Core Concept 3: So, of course, at this point, direct contracting enters the building. Because direct contracting between ultimate buyers of healthcare (meaning plan sponsors like self-insured employers etc.) and the actual purveyors of healthcare (meaning clinicians) is a fairly obvious strategy if we're going to try to get high quality at a fair price. I mean, get the beginning and the end of the road together. When you do that, it not only can spotlight—and thereby help eliminate—who might be low value that's sitting in the middle of the road collecting tolls like a toll booth, but it also enables collaboration in other ways, really, between the ultimate purchasers and the ultimate deliverers of care. Because there can be conversations about integration. There can be goals and then work out issues together, right? Collaboration is the next breakthrough innovation. So, that's our Core Concept 3: Consider direct contracting or even just, you know, as a start, go talk to, if you're a self-insured employer or you're a purveyor of care, go just find somebody to have a conversation with. Go talk to each other. Just have a chat. And I might include pharmacies, actually, in that mix. It's amazing what can happen, actually, when those buying care and selling care sit in the same room. In this number three core concept, consider direct contracting, we hear again from Ivana Krajcinovic but then also from Ryan Jacobs, Adam Stavisky, and then lastly, we have a quote from Ryan Wells. Core Concept 4: When direct contracting, or otherwise purchasing healthcare, buy the highest-value healthcare. How is that for an aspirational goal? But really, what do you want a direct contract for? What do you want your partners to be accountable to deliver? And what's rolled up into all of that? What is value? What is value, right? We go there, and when I say we, I mean we hear from Mick Connors, MD; Dr. Siva, otherwise known as Ahilan Sivaganesan, MD; and then we have Kenny Cole, MD, to bring us home. We finish up really at a very human level for why all of this matters. So, in summary, here's our four concepts. When you buy healthcare, buy healthcare. Focus on what you're actually getting for your money and how you are buying it. When you do that, direct contracting starts to make some sense. Just make sure the care that you are buying is truly high value. That's the whole shebang in a nutshell. One more thing before we kick into this. So, yeah, while I was quietly contemplating the vast universe of things gone wrong and right in the healthcare sector, Tom Nash, our producer extraordinaire, wandered in and asked me to try out his new Relentless Health Value Chatbot that he's been working on possibly 18 hours a day, including weekends ever since the incident with Michelle Bernabe and the AI futurist philanthropist, which you can hear all about in Inbetweenisode 46. But anyway, with Tom's Relentless Health Value Chatbot, you can ask a question and have it answered by me and/or one or more of the 500 guests we've had on Relentless Health Value so far. I am not sure if I am more concerned about my impending obsolescence or thrilled to report that this thing actually works. And I will admit I did use it with, I'm going to say, a light to medium touch to help out with the episode today. At the end of the show, if you are interested, I will tell you how to get access to said Relentless Health Value Bot. But right now, let's do this thing that we have set out to do. Featured Experts by Core Concept Concept 1: Buy Healthcare, Not Insurance Jonathan Baran, CEO, Self Fund Health (EP483) Cynthia Fisher, founder and chairman, PatientRightsAdvocate.org; co-founder and chairman of Power to the Patients (EP457) Mark Newman, co-founder and CEO, Nomi Health (EP496) Justin Leader, founder and CEO, BenefitsDNA (EP433) Concept 2: Avoid the Myth of Less Expensive Healthcare Elizabeth Mitchell, president and CEO, Purchaser Business Group on Health (EP436) Sam Flanders, MD, senior advisor, Kada Health (EP490) Shane Cerone, CEO, Kada Health (EP492) Jerry DiMaso, co-founder and CEO, Payerset (EP506) Ivana Krajcinovic, PhD, former vice president for healthcare delivery (retired), UNITE HERE HEALTH (EP501) Concept 3: Consider Direct Contracting Ivana Krajcinovic, PhD, former vice president for healthcare delivery (retired), UNITE HERE HEALTH (EP501) Suhas Gondi, MD, MBA, chief medical officer, HealthStrategy (EP404) Ryan Jacobs, senior vice president of health plan strategy and partnerships, Marathon Health (EP504) Komal Bajaj, MD, professor of obstetrics and gynecology, Albert Einstein College of Medicine (EP458) Adam Stavisky, business advisor, Stavisky LLC (EP503) Cristin Dickerson, MD, founder and CEO, Green Imaging (EP485) Stan Schwartz, MD, chief medical officer, ZERO.health (EP486) Leo Spector, MD, MBA, CEO, OrthoCarolina (EP503) Ryan Wells, founder and CEO, Health Here (EP503) Concept 4: Buy the Highest-Value Healthcare Mick Connors, MD, pediatric emergency medicine physician, Dayton Children's Hospital (EP495) Ahilan Sivagenesan, MD, neurosurgeon, Hospital for Special Surgery; Head of Quality and Value, Mishe Health (EP505) Kenny Cole, MD, System VP, Clinical Improvement, Ochsner Health (EP473)   00:00 Introduction to this episode and guests. 01:38 The four core concepts to buy or deliver highest-value healthcare: a summary. 06:01 An exciting show announcement. 07:32 Core Concept 1: Why buy highest-value healthcare, not "best" coverage? 11:28 Core Concept 2: Will employers fall victim to the myth of inexpensive care? 13:00 Why better-quality care vs. more affordable care is a false choice. 17:09 Core Concept 3: Direct contracting. 17:58 Why demand curve matters in healthcare cost. 22:08 How Centers of Excellence play into all of this. 22:54 Core Concept 4: How do you conceive of and buy high-value healthcare? 23:48 The value equation in healthcare. 25:35 What is value? 28:20 What whole-person care looks like. 30:24 Relentless Health Value Chatbot sneak peek announcement. 32:14 Coming up: looking at the episodes ahead.   This week our #healthcarepodcast features 15 (!) experts weighing in on the core concepts to buying and delivering #highestvaluehealthcare. #healthcare #podcast #financialhealth #commercialpayermarketplace #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Jerry DiMaso; Dr Ahilan Sivaganesan; Ryan Jacobs; Stacey Richter (INBW46); Ryan Wells, Dr Leo Spector, and Adam Stavisky; Brian Machut; Ivana Krajcinovic; Dr Jacob Asher (Take Two: EP398)

Why Advanced Primary Care Doesn't Scale: Conflicting Incentives, Complacency, and a 3-Step Roadmap Stacey Richter interviews Ryan Jacobs (SVP Strategy and Partnerships, Marathon Health) on why evidence-backed advanced primary care (APC)—focused on managing risk, improving outcomes, and lowering costs—still isn't widespread.  They argue APC struggles to scale due to two root barriers: conflicting fiduciary duties (health systems and payers driven by volume, "heads in beds," and market-power growth, while APC keeps patients out of hospitals) and a "black box of complacency," where innovators often lose to the status quo because dominant organizations can rationally avoid investing without gaining share.  Jacobs offers a three-step roadmap: perform a reality-based assessment by following the money and identifying who is financially harmed by prevention; anticipate stakeholders' math by framing value as CFOs, benefits leaders, and plan sponsors do; and proceed from strategic conclusions such as direct contracting to bypass misaligned intermediaries.  === LINKS ===

When will the last supernova be? Neil deGrasse Tyson and Chuck Nice explore types of novas, freaky binary star systems, core collapse, standard candles, and the explosive future of Betelgeuse with astrophysicist Michael Shara.NOTE: StarTalk+ Patrons can listen to this entire episode commercial-free here: https://startalkmedia.com/show/super-duper-novas-with-michael-shara/Thanks to our Patrons Devon Gromko, Ron C, Blake Flynn, michelle slaughter, Mia Ham, Ryan Jacobs, Philipp Fallon, Ashley Sandfort, Sam, John Munn, Fred Rubin, TJ Kochhar, Zeraka, Jason Huddleston, Richard Ireland Jr, Judy, Darren Lawson, Bob, Rahul Phatak, Santiago Salas Ventura, Nicholas Bartlett, John D Sostrom, Byron E, Jeremy Corbello, Josh Kirkman, Daniel Carneiro, Tommyboi711, Thomas Hall, Keith Rogers, Luke Hargrett, Darren, Tassos Souris, Patrick GRindol, Erin Anthony, Duane Wolfe, PcuriousJ, Greg Gredvig, Trey Nicholson, Torsten Diekhoff, Sergiu Neacsu, Scott Woodman, FredDawg, Corey He, Kolja Milankovic, Jim Ransom, Kris Waygood, Suvi Irvine, Sarath, Cody Knotts, Jose Trejo, Lauren, Maverick91, Gloss, James, AComatoseLemur, and Ivan Dsouza for supporting us this week. Subscribe to SiriusXM Podcasts+ to listen to new episodes of StarTalk Radio ad-free and a whole week early.Start a free trial now on Apple Podcasts or by visiting siriusxm.com/podcastsplus.

Listen to Divorce Team Radio as Todd Orston, Partner at the Divorce and Family law firm of Meriwether &Tharp, LLC, explores divorce and mortgage refinancing with Atlanta mortgage expert Ryan Jacobs of Homespire Mortgage. Ryan and Todd discuss mortgages, refinancing, and the 6 Tips you MUST know if mortgage refinancing is a requirement in your divorce!

In this episode, we have two interviews: one general, but incredibly entertaining, about health equity and one on a clinical study in chronic lymphocytic leukemia (CLL). This last interview is with Ryan Jacobs, MD (Dept. Hematology, Atrium Health Levine Cancer Institute), who discusses his new real-world study using more than 2 years of EMRs that shows that patients with CLL treated with first-line Bruton's tyrosine kinase inhibitor (BTKi) acalabrutinib were 89% more likely to initiate a next-line treatment when compared with patients treated with another BTKi first-line ibrutinib. But first, Physician's Weekly Editorial Board member and frequent contributor Alex McDonald, MD, speaks with La Tanya Hines, MD, a board-certified obstetrician and gynecologist practicing in Los Angeles about health equity—what it is and where it goes wrong.Enjoy listening! Additional reading:https://www.diversityinmedicine.uci.edu/dr-la-tanya-hines/Jacobs R. et al, Real-World Comparison of Time to Next Treatment for Patients with CLL Initiated on First-Line Treatment with Ibrutinib Versus Acalabrutinib. Presented at the American Society of Hematology (ASH 2022) on Monday, December 12, 2022, Abstract 797.Lu X, et al. Real-World Adherence to First-Line Ibrutinib and Acalabrutinib Single-Agent Among Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma. Clinical Lymphoma Myeloma and Leukemia, Volume 22, Supplement 2, 2022: S280-S281, abstract CLL-492Let us know what you thought of this week's episode on Twitter: @physicianswkly Want to share your medical expertise, research, or unique experience in medicine on the PW podcast? Email us at editorial@physweekly.com! Thanks for listening!

Truffles Presented by Susi Gott Séguret Nature's most lauded culinary treasures—are subterranean fungi with magical properties which bring new dimensions to countless dishes. Cooking with Truffles: A Chef's Guide demystifies the truffle for the professional and the home chef, with over 150 unique and tantalizing recipes to suit every palate and occasion, featuring a variety of recipes, ranging from the simple to the sublime. And if you should happen to find yourself without a truffle in your pantry, the recipes stand well on their own! Join author Susi Gott Séguret on Tuesday evening, January 10th, for an introduction to truffle history—both at home and abroad—as well as a bit of truffle science and geography, and notes on taste profiles and seasonality. If you've ever been curious about truffles, here's your chance to satisfy your yearnings! Susi Gott Séguret, author, chef, fiddler, forager, hails from Madison County, North Carolina, in the heart of the Blue Ridge Mountains. A Certified Culinary Professional and Certified Specialist of Wine, with a diploma in Gastronomy and Taste from the Cordon Bleu and the Université de Reims, Susi is the founder and director of the Seasonal School of Culinary Arts, which convenes four times a year, in Asheville, Ithaca, Sonoma, and Paris. Susi also orchestrates a series of wine dinners known as the Asheville Wine Experience; the yearly gustatory extravaganza, the Asheville Truffle Experience; and a series of foraging-cooking-dining events called the Appalachian Culinary Experience. Susi has authored a quartet of books: Appalachian Appetite, Child of the Woods, Cooking with Truffles, and A Chef's Book of Favorite Culinary Quotations. Book references: - There's a delightful little book, "Truffle Hound" by Rowan Jacobsen that has tales about growing and hunting truffles around the world as well as very funny ones about training truffle hounds. - Truffle Underground, by Ryan Jacobs about Truffle related crime Movie references: - Pig, https://www.imdb.com/title/tt11003218/ - The Truffle Hunters, https://www.sonyclassics.com/film/thetrufflehunters To answer your questions, no, the truffle dinner is not sold out (an older version of the registration page had that posted from last year's dinner, but it's been updated since). Here's the link to registration: http://ashevilletruffle.com/register.html As far as music goes, The Truffle Game (the second talking blues) is the background for this little sizzle reel: https://www.youtube.com/watch?v=wdk-x8HdICs (the second fellow sniffing the truffle, with the French-looking nose, is Rowan Jacobsen who wrote Truffle Hound, which we referenced during the presentation). For those who requested more music, here's a selection of songs I wrote and recorded in Paris and Nashville in the late 90s: https://www.youtube.com/watch?v=r1juZ0IptZg There might be a few CDs (under the name Carolina) floating around for adventurous searchers. Here's another sizzle reel of bits and pieces of music with the backdrop of the farm where I live: https://www.youtube.com/watch?v=-S9C136Fs1w And here's another culinary-oriented sizzle reel with an original fiddle tune (Ripshin) in the background, and more farm shots: https://www.youtube.com/watch?v=myMYfnNzDSk&t=3s Feel free to share with those who tuned in on Monday night. Recorded via Zoom on January 10th, 2022 CONNECT WITH CULINARY HISTORIANS OF CHICAGO ✔ MEMBERSHIP https://culinaryhistorians.org/membership/ ✔ EMAIL LIST http://culinaryhistorians.org/join-our-email-list/ ✔ S U B S C R I B E https://www.youtube.com/channel/UC6Y0-9lTi1-JYu22Bt4_-9w ✔ F A C E B O O K https://www.facebook.com/CulinaryHistoriansOfChicago ✔ PODCAST 2008 to Present https://culinaryhistorians.org/podcasts/ By Presenter https://culinaryhistorians.org/podcasts-by-presenter/ ✔ YOUTUBE https://www.youtube.com/channel/UC6Y0-9lTi1-JYu22Bt4_-9w ✔ W E B S I T E https://www.CulinaryHistorians.org

Welcome back to the Views From Lot K! Max and Steve are joined by special guest Ryan Jacobs of the North/South Pod! They discuss the Phillies firing Joe Girardi, what it means for the team, and who the new interim coach is. They follow up the firing with an offensive explosion and series sweep against the Angels, while Max, Steve, and Ryan discuss what caused it specifically and if it is sustainable (to an extent) the rest of the season (02:40). Next, the three break down the entire Eagles schedule! Looking at which stretches are the best, which games are the most interesting, some surprising results, and finally a record prediction (20:00). Finally, Bets of the Week (56:15)!    All this and more on Views From Lot K!   Thanks to Ryan Jacobs for joining the show today! Be sure to check out his personal twitter @Jacobs2294, as well as his podcast, @North_South_Pod   Check us out on Twitter @ViewsFromLotK , or email us questions at ViewsFromLotK@gmail.com  Misfits (Instrumental) by RYYZN https://soundcloud.com/ryyzn Creative Commons   Attribution 3.0 Unported CC BY 3.0 Free Download / Stream: http://bit.ly/-misfits Music promoted by Audio Library https://youtu.be/iSSp4TH7Lks

Ryan Jacobs has set himself the mammoth task of becoming the first person of colour to row solo across the Atlantic. Jacobs, who will likely only attempt the feat in the second half of 2022, says his reason for doing it is because representation in outdoor and extreme sport is lacking with people of colour, and he wants to change the narrative. See omnystudio.com/listener for privacy information.

One of the things a lot of us regret is not getting serious about our finances at a younger age. By developing great financial savings and investment habits early, young adults can significantly increase their odds of long-term financial stability and success. If you have kids between the age of 16 and 30 or are in that age category yourself, and are wondering how to start saving and investing, this episode is for you.  Marcelo Taboada and co-Host Lawrence Greenberg are joined by Ryan (20) and Matthew (17) for today's episode. Ryan and Matt share their refreshing perspectives on saving and investing. They talk about the important role social media plays in introducing young people to investing, the key lessons they've learned, their best advice for other young people, and so much more! Thank you for listening! Key Topics: Introducing Ryan and Matthew (4:37) How TikTok helped Matthew realize he should start investing (6:14) Why Ryan chose Boeing for his first investment (7:00) Ryan's current portfolio strategy (8:55) Matthew's portfolio composition (10:18) Managing the unknown aspect of cryptocurrencies (11:18) Using research to combat FOMO (14:09) Ryan and Matthew's approach to learning about investing (16:08) How learning about crypto helps Matthew's stock portfolio (18:08) Balancing saving and personal spending (20:31) Common pitfalls that prevent young people from saving and investing (22:46) Developing behaviours that will benefit your finances for life (24:57) Missteps in investing (26:08) Ryan and Matthew's best advice for young people and saving (27:57) What young people need to know about investing (29:13) And much more! Thanks for Listening! Be sure to subscribe on https://podcasts.apple.com/us/podcast/the-empowered-investor/id1508663970 (Apple), https://podcasts.google.com/?feed=aHR0cHM6Ly9mZWVkcy5jYXB0aXZhdGUuZm0vdGhlLWVtcG93ZXJlZC1pbnZlc3Rvci8 (Google), https://open.spotify.com/show/1mBnYMtqkbGqP2xyEThAUc (Spotify), or wherever you get your podcasts. And feel free to drop us a line at lawrence@tma-invest.com or 514-695-0096 ext.112 Follow Tulett, Matthews & Associates on social media on https://www.linkedin.com/company/tulett-matthews-&-associates-inc/ (LinkedIn), https://www.facebook.com/TulettMatthewsAssociates/ (Facebook), and more! Follow The Empowered Investor on https://www.facebook.com/theempoweredinvestor/ (Facebook), https://www.linkedin.com/company/theempoweredinvestor/ (LinkedIn), and https://www.instagram.com/theempoweredinvestor/ (Instagram)

In this edition of In The Circle, Eric Lopez and Victor Anderson Focus on the "Big 4" in Iowa as they head to the Big 4 Classic. First, Eric talks with Northern Iowa Head Coach Ryan Jacobs about UNI's NCAA Tournament appearance in 2021, Breaking down the team's outlook in 2022 and replacing All-American SS Sammey Bunch. Eric also talks about Drake's Head Coach Rich Calvert about the history of the Big 4 Classic Fall tournament, Drake in 2022, and the MVC. Calvert also talked about Nicole Newman and the national attention Newman brought to the program in 2019. Also, in the episode, Eric and Victor react to more college realignment news as reports of Belmont moving from the OVC to the MVC and Texas A&M Commerce moving from the Lone Star Conference (DII) to the Southland Conference (DI).

In this edition of In The Circle, Eric Lopez and Victor Anderson Focus on the "Big 4" in Iowa as they head to the Big 4 Classic. First, Eric talks with Northern Iowa Head Coach Ryan Jacobs about UNI's NCAA Tournament appearance in 2021, Breaking down the team's outlook in 2022 and replacing All-American SS Sammey Bunch. Eric also talks about Drake's Head Coach Rich Calvert about the history of the Big 4 Classic Fall tournament, Drake in 2022, and the MVC. Calvert also talked about Nicole Newman and the national attention Newman brought to the program in 2019. Also, in the episode, Eric and Victor react to more college realignment news as reports of Belmont moving from the OVC to the MVC and Texas A&M Commerce moving from the Lone Star Conference (DII) to the Southland Conference (DI).

In this episode, I sat down with M2 and Louisville native Ryan Jacobs to discuss congenital talipes equinovarus, otherwise known as clubfoot. Ryan was born with fairly severe unilateral clubfoot and we dive in to the anatomy of the condition, details of his treatment, and the impact that the diagnosis has on his adult life.

In the first of a two-part episode of In The Circle, Eric Lopez and Victor Anderson preview the NCAA DI Tournament Regionals. Today they look at the Norman, Tucson, Tempe, Baton Rouge, Fayetteville, Lexington, Austin, and the Columbia Regionals. We also drop clips from some of the most prominent coaches in the game, including Mike White, Melyssa Lombardi, Mike Candrea, and Patty Gasso. We hear their thoughts on the seeding of the tournament and more. Eric talks with Northern Iowa's Head Coach Ryan Jacobs about the Panthers season, making the field, and what it was like on Selection Night. Eric also talks with UNI's Sammey Bunch about what it will be like playing just an hour away from where she grew up. Bunch also discusses what it has been like handling all the attention she has gotten being a Top 25 National Player of Year finalist and more. Also, in the episode, Victor previews the D2 NCAA Tournament.

In the first of a two-part episode of In The Circle, Eric Lopez and Victor Anderson preview the NCAA DI Tournament Regionals. Today they look at the Norman, Tucson, Tempe, Baton Rouge, Fayetteville, Lexington, Austin, and the Columbia Regionals. We also drop clips from some of the most prominent coaches in the game, including Mike White, Melyssa Lombardi, Mike Candrea, and Patty Gasso. We hear their thoughts on the seeding of the tournament and more. Eric talks with Northern Iowa's Head Coach Ryan Jacobs about the Panthers season, making the field, and what it was like on Selection Night. Eric also talks with UNI's Sammey Bunch about what it will be like playing just an hour away from where she grew up. Bunch also discusses what it has been like handling all the attention she has gotten being a Top 25 National Player of Year finalist and more. Also, in the episode, Victor previews the D2 NCAA Tournament.

Today we're chatting with the CEO of SpotMyPhotos by CloudSpotter, Ryan Jacobs, which allows photographers to privately and automatically send attendees custom-branded versions of their photos either in real-time or at a scheduled future point in time. Ryan is also a founding member of the 10,000 Headshots Initiative, operating under the name The Headshot Booker. They provided professional headshots and confidence to 10,000 job seekers displaced by the COVID19 crisis, partnering with Brookfield Properties and over 200 photographers nationwide.CEO Ryan Jacobs is going to give entrepreneurs valuable advice when building a business plan, the challenges small startups face, and how to wake up every day and do what you love.SpotMyPhotos websiteSpotMyPhotos instagramFunktastic Chats websiteJoin Our NewsletterMentions:PartyslateHeadshot BookerCanonBrookfield Properties

Gary catches up with softball coach and UNI baseball alum Ryan Jacobs. Learn more about his time playing for the Panthers and his upcoming team.

Founder Ryan Jacobs (https://www.spotmyphotos.com/) assembled a great panel of professional photographers including Peter Hurley (https://peterhurley.com/), Kelsey Harrison (https://ohhappydaybooth.com/meet-the-team) and Ivan Piedra (https://www.ivanpiedraphotography.com/gallery). The multifaceted conversation is moderated and hosted by Jack Hartzman and Monica Vidal.Please send feedback about this episode to jack@visualwow.com or ryan@spotmyphotos.com.

Our host, Jacob Fishback, is joined by Lief's Research and Development Lead, Ryan Jacobs, to talk about what goes on behind the scenes in our R&D lab. Ryan shares insight on how he finds the balance between clients' wants, affordability, and the perfect flavor -- as well as what he has learned being the leader of Lief's R&D team.

Gary Pageau of the Dead Pixels Society talks with the team behind 10,000 Headshots, the largest, single-day photo initiative to provide 10,000 unemployed Americans nationwide with a complimentary, professional headshot to include with their resumes and post to job sites. The event will be Wednesday, July 22.10,000 Headshots is the brainchild of Tony Taafe, who co-founded Headshot Booker with renowned portrait photographer, Peter Hurley, national event photographer, Lauren Lieberman, and developer, Joseph Pelosi. In this episode, Taafe, Leiberman, and Ryan Jacobs, founder and CEO of SpotMyPhotos (the company providing the hosting platform and capture technology), joined us for this episode to talk about the origins of the project and the importance of it during this pandemic. For more information on 10,000 Headshots, visit HeadshotBooker.com. Visual 1st Visual 1st is the premier global conference focused on the photo and video ecosystem. Support the show

Ryan Jacobs has tapped into his dualities and its magical to hear. In this talk, we explore his journey, how he found his passions at a young age and we explore masculine and feminine energy. Ryan has also made a high-vibrational album called Yoga Flow under the name, Majestiq.

Guest Host Shane Hewitt speaks with Colitis patient Ryan Jacobs. 

Ari Fliakos is one of those talented narrators who suits his tone, pace, and style to the subject. Here it is well matched to the tumultuous world of the truffle market. He narrates with the assured attitude of a documentary voice-over. His simple imitations of Italians and French people strike the right balance. This prized fungus, especially the highly sought after Italian white and French black, have inspired an underground of thieves, dog killers, and dishonest purveyors who regularly mislabel provenance to jack up prices. The listener enters a demimonde of intense competition and extraordinary profit. The audiobook also provides an outstanding history of the truffle's culinary uses. Published by Random House Audio. Find the review of THE TRUFFLE UNDERGROUND at audiofilemagazine.com. For more free audiobook recommendations, sign up for AudioFile Magazine’s newsletter. On today’s episode are host Jo Reed and AudioFile Magazine contributor Jonathan Smith. HarperCollins Leadership feed your inner drive to grow as a leader, with audiobooks that activate the leadership potential inside everyone. Learn more at www.harpercollinsleadership.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Truffles, Mushrooms, and the Mycelial Network

Truffles are one of the most sought-after foods in the world. People use specially trained animals to sniff out this delectable fungus on tree roots, and a pound of white truffles can sell for thousands of dollars. But there’s a dark side to this delicacy. We talk to journalist Ryan Jacobs about his new book, The Truffle Underground. And he’s got all the dirt: theft, fraud, poisoned dogs, and even murder.

-B-105's Ryan Jacobs was yesterday's Cincinnati Reds Hometown Hero! -Ashley got into a LOT of trouble at work while we were away on vacay? -Chelsie's Ghost Tour will haunt her family forever! -John Matarese on why so many Steak-n-Shake's are closing. -The accidental party line Phone Hack! -1/3 of adults say they do THIS at least once a week? -The Six Degrees of Kevin Bacon Birthday Edition of the College of Hollywood Knowledge! Learn more about your ad choices. Visit megaphone.fm/adchoices

Sometimes, the internet turns against you. What to do, what not to do, how to ride it out and remember--the loudest voices aren't necessarily the most numerous. Over the course of our careers, both Jess and I have endured some PR storms. We share some of the gory details, but more importantly, advice from PR pros and from our experiences on how to handle it when you go a little bit viral in the worst way.We heard from PR experts Ophir Lehavy (https://www.ophirlehavy.com/) and Carol Blymire (http://carolblymire.com/) . Ophir pointed us to a crisis control article, and Jess called out (in the good way) a couple of books that are useful when you're at the eye of the storm: Shame Nation: The Global Epidemic of Online Hate (https://www.indiebound.org/book/9781492648994) , from Sue Scheff and So You've Been Publicly Shamed (https://www.indiebound.org/book/9781594634017) , Jon Ronson.#AmReadingKJ adored Ben Schott's P. G. Wodehouse homage, Jeeves and the King of Clubs (https://www.indiebound.org/book/9780316524605) .Jess is treasuring The Truffle Underground: A Tale of Mystery, Mayhem, and Manipulation in the Shadowy Market of the World's Most Expensive Fungus (https://www.indiebound.org/book/9780451495693) , Ryan Jacobs and Michelangelo and the Pope's Ceiling (https://www.indiebound.org/book/9781620408407) by Ross King--which she found at the dump, possibly the most indie book source of them all.#FaveIndieBookstoreShout out to one in Jess's new home town, Burlington, VT: The Phoenix (https://www.phoenixbooks.biz/)This episode was sponsored by Author Accelerator, the book coaching program that helps you get your work DONE. Visit https://www.authoraccelerator.com/amwriting for details, special offers and Jennie Nash’s 2-tier outline template.Find more about Jess here (http://www.jessicalahey.com/) , and about KJ here (https://kjdellantonia.com/) .If you enjoyed this episode, we suggest you check out Marginally, a podcast about writing, work and friendship (https://www.marginallypodcast.com/) . This is a public episode. Get access to private episodes at amwriting.substack.com/subscribe

EP28: The world’s most sought after, expensive, and delicious fungus also causes humans to steal and resort to violence. This week, it’s all about the truffle with special guest, Ryan Jacobs. The Truffle Underground: A Tale of Mystery, Mayhem, and Manipulation in the Shadowy Market of the World’s Most Expensive Read more... The post Destination Eat Drink – Truffles appeared first on Radio Misfits.

“Good speeches, as a rule, generally push a single idea,” says the former speechwriter for the Obama Administration. When the Democratic National Committee needed a volunteer speechwriter in 2012, Ryan Jacobs ’19 was quick to put up his hand. The gig soon turned into a full-time job as a speechwriter within the Obama Administration. “I was an incredibly minor, minor, minor character in this administration,” Jacobs says. “If the Obama Administration was a movie, I’d be like extra No. 1,846. But I was there. And it’s a privilege to be there. You sort of feel like you’re in the middle of something big.” On this episode of Columbia Bizcast, Jacobs talks about how his career in speechwriting started with emulating a character from TV drama The West Wing and led to traveling around the country as chief speechwriter for former President Obama’s secretary of transportation. Jacobs also explains why he wanted to learn “the language of business” from Columbia Business School. Now working toward his Executive MBA degree as a cross-country commuter based in Seattle, Jacobs is a senior speechwriter for the Bill and Melinda Gates Foundation. “Good speeches, as a rule, generally push a single idea,” says Jacobs. “Bad speeches, as a rule, are like kitchen-sink speeches. Speeches that try to placate everybody. By saying everything, they say nothing.”

Afterthought Brewing was introduced to me by Ryan Jacobs of Saint Errant Brewing, in Episode 17 he referred to their beer as "HILL FARMSTEAD Level".. Saisons are not always thought of as the "Sexy" Style.  But god damn is Afterthought making some beautiful beers.  It is a small operation, but Mike and now his two brewers are just killing it.  You can only get his beer in Glen Ellyn at the OG suburban bottleshop The Beer Cellar.  Dave Hawley, owner of the Beer Cellar, has supported Mike's beer from the jump and helped get it into more people hands.  If you have not tried his beers I recommend driving there immediately.  We had a great conversation about the Past Present and future of Aftethought, including the great story of how it got it's name.  The world should look forward to more from this brewery.

Homer and Smack podcast episode 25. Hosted by Doug Curlee, with special guest co-host Ryan Slaughter. Produced by Dusty Jump. Special thanks to mancavehoops.com creator and author Ryan Jacobs for coming on and talking NCAA hoops. Topics include brush with Michael Jordan greatness, Milwaukee Brewers sausage race participation, and DFW sports teams.

While many of their friends were starting breweries and gaining notoriety, Brent Banks and Ryan Jacobs were honing their craft as home brewers while juggling jobs in finance and the medical field. At the urging of their comrades, the pair finally decided to go pro and start Saint Errant Brewing. Currently, they contract brew out of the Mikerphone space in Elk Grove Village, and as of mid-August, they released their first (solo) offering, Strange Loops, in bottles and kegs. We sat down with Brent and Ryan to taste through several recent brews and test batches to discover that starting a brewery in 2017 isn’t so crazy when the beers taste this excellent. We cover a lot here including the difficulties of beer names, the significance of yeast variables, Chicago’s perplexing lack of love for sours, where to shop for the best peaches, and how those Vermont trips with Fitz helped them dial in their New England style IPA recipes. (Shout out to Julio Rosenstein!) Beers Sampled Get It Together (Double IPA with mangos/collaboration with Mikerphone) Strange Loops (Double IPA) Mr. Hanalei (Berliner-style sour ale with guava, passionfruit, and naranjilla) Pitseleh (Sour saison with peaches) Between Waves (Milkshake IPA with apricot, lactose, and vanilla)

In this week’s episode I sit down with Ryan Jacobs. Ryan Jacobs is a performer, director, teacher, and is the Artistic Director of Suitcase Theatre. In our conversation today we discuss the types of theatre opportunities there are for people in smaller towns, his theatre training in Miami, as well as his experiences working at the French Woods Festival in New York State. We also discuss how Ryan got involved working with Suitcase Theatre, his work as a writer and director, as well as where he see theatre in Canada headed in the future.

In this week’s episode I sit down with Ryan Jacobs. Ryan Jacobs is a performer, director, teacher, and is the Artistic Director of Suitcase Theatre. In our conversation today we discuss the types of theatre opportunities there are for people in smaller towns, his theatre training in Miami, as well as his experiences working at the French Woods Festival in New York State. We also discuss how Ryan got involved working with Suitcase Theatre, his work as a writer and director, as well as where he see theatre in Canada headed in the future.